Peter J Gates (NPI# 1154416782, PAC ID# 4082664933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154416782 |
| PAC ID by PECOS | 4082664933 |
| Professional Enrollment ID | I20050127000833 |
| Full Name | Peter J Gates |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Address |
196 Pkwy S Suite 201 Waterford CT 06385-1234 |
| Phone Number | 8604430622 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1972 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153573902 |
| Number of Group Practice Members | 191 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070007 | LAWRENCE & MEMORIAL HOSPITAL |
| 070024 | WILLIAM W BACKUS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 196 Pkwy S, Suite 201, Waterford, CT 06385-1234 | 8604430622 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Physicians | 230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kefah Raed A Al-ramahi | Internal Medicine | Hartford Healthcare Medical Group Inc | 2 Northwestern Dr, Bloomfield, CT 06002-3480 |
| Laura Celeste Black | Internal Medicine | Hartford Healthcare Medical Group Inc | 336 N Main St, West Hartford, CT 06117-2675 |
| Surayda J Herrera | Internal Medicine | Hartford Healthcare Medical Group Inc | 5 Founders Dr, Willimantic, CT 06226-2048 |
| Aimee C Eaton | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 39 Kennedy Dr, Suite D, Putnam, CT 06260-1957 |
| Daniela M La Rosa | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 23 Liberty Dr, Suite A, Hebron, CT 06248-1553 |
| Lori D Lerner | Family Medicine | Hartford Healthcare Medical Group Inc | 1060 Day Hill Rd, Suite 202, Windsor, CT 06095-5720 |
| Kulsoom H Maudoodi | Internal Medicine | Hartford Healthcare Medical Group Inc | 100 Hazard Ave, Suite 101, Enfield, CT 06082-5447 |
| Sarah J Robertson | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 676 Hebron Ave, Glastonbury, CT 06033-2410 |
| Sarah Louise Tyler | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 324 Flanders Rd, East Lyme, CT 06333-1735 |
| Manju M John | Internal Medicine | Hartford Healthcare Medical Group Inc | 420 Saybrook Rd, Suite A, Middletown, CT 06457-4747 |
| Street Address |
196 PKWY S SUITE 201 |
| City | WATERFORD |
| State | CT |
| Zip | 06385-1234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian C Cambi | Interventional Cardiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Anthony D Quinn | Urology | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Costin Nicolae Ionescu | Interventional Cardiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Jude F Clancy | Cardiac Electrophysiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Richard A Fraser | Urology | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Rachelle Darout | Family Medicine | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Carlos I Mena-hurtado | Interventional Cardiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| David F Crawley | Urology | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Mark Somers | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Jennifer M Felicelli | Physician Assistant | Hartford Healthcare Medical Group Inc | 196 Pkwy S, Waterford, CT 06385-1234 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie B Popkin | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Thomas C Cherry Jr. | Plastic and Reconstructive Surgery | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Elizabeth K Allard | Family Medicine | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| David Brill | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Steven H Schoenberger | Urology | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Brian S Ehrlich | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Juner M Colina Biscotto | Ophthalmology | Retina Group of New England PC | 174 Cross Rd, Waterford, CT 06385-1215 |
| Nauman Alam Chaudhry | Ophthalmology | Retina Group of New England PC | 174 Cross Rd, Waterford, CT 06385-1215 |
| Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Jane M Kanowitz | Hematology/oncology | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Find all physicians in zip 06385 | |||
| City | WATERFORD |
| Zip Code | 06385 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WATERFORD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Peter J Gates.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.